Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
Federally Qualified Health Center (FQHC) · Madison, IL
NPI number
1255514717
Active
Practice location
308 Madison Ave
Madison, IL 62060-1110
Fax (618) 397-7802
Mailing address
8080 State St
East St. Louis, IL 62203-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Madison
About NPI 1255514717
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1255514717, issued on Dec 7, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Madison, IL. The record was last updated on Apr 20, 2008.